0001772710-19-000001.txt : 20190418 0001772710-19-000001.hdr.sgml : 20190418 20190418112726 ACCESSION NUMBER: 0001772710-19-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20190418 DATE AS OF CHANGE: 20190418 EFFECTIVENESS DATE: 20190418 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Surgical Suites of Coastal Virginia, LLC CENTRAL INDEX KEY: 0001772710 IRS NUMBER: 833205375 STATE OF INCORPORATION: VA FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-337639 FILM NUMBER: 19755091 BUSINESS ADDRESS: STREET 1: 400 SENTARA CIRCLE STREET 2: SUITE 200 CITY: WILLIAMSBURG STATE: VA ZIP: 23188 BUSINESS PHONE: 757-345-4140 MAIL ADDRESS: STREET 1: 400 SENTARA CIRCLE STREET 2: SUITE 200 CITY: WILLIAMSBURG STATE: VA ZIP: 23188 D 1 primary_doc.xml X0708 D LIVE 0001772710 Surgical Suites of Coastal Virginia, LLC 400 SENTARA CIRCLE SUITE 200 WILLIAMSBURG VA VIRGINIA 23188 757-345-4140 VIRGINIA None None Limited Liability Company true 2019 David J. Masterson 100 Sentara Circle Williamsburg VA VIRGINIA 23188 Director Manager Daniel Cavazos 400 Sentara Circle Suite 200 Williamsburg VA VIRGINIA 23188 Director Manager Michael Jacobson 400 Sentara Circle Suite 200 Williamsburg VA VIRGINIA 23188 Director Manager Thomas Durbin 400 Sentara Circle Suite 200 Williamsburg VA VIRGINIA 23188 Director Manager Carol Guinane 400 Sentara Circle Suite 200 Williamsburg VA VIRGINIA 23188 Director Manager Kelly Brown 400 Sentara Circle Suite 200 Williamsburg VA VIRGINIA 23188 Director Manager Other Health Care Decline to Disclose 06b false 2019-03-26 false true false 117000 1911000 1911000 0 false 9 0 0 0 false Surgical Suites of Coastal Virginia, LLC David J. Masterson David J. Masterson Manager 2019-04-18